Outcome predictors from NIPPV in acute respiratory failure
Rao, B.K.; Sharma, S.C.; Singh, Vinod Kumar and Gupta, Rakesh (2002) Outcome predictors from NIPPV in acute respiratory failure. In: Critical Care Session, National Conference on Pulmonary Diseases (NAPCON), Jaipur, India.
Full text available as:
Background: The use of NIPPV has become more widespread over the past decade but its prescription, use and outcome in clinical setting remains uncertain with reported failure rate of 5 to 50 percent. Patient with high like hood of failure should be spared from the trial of NIPPV and intubation should not be delayed. The aim of this study is to assess the rate of failure and possible associated predictive factors for this failure. Study Design: Total 50 consecutive patient with acute respiratory failure were included in this observational cohort study in a 500 bedded tertiary care hospital. 74 percent patients on NIPPV had subjective & objective improvement. Remaining 26 percent (13 patients) either did not improve or deteriorated on NIPPV. Low initial arterial pH, associated medical complications and Low ADL score were found predictors of subsequent outcome. Conclusion: NIPPV is less likely to be successful in patient of acute respiratory failure with severe acidosis, poor functional status and associated medical complications.
Archive Staff Only: edit this record